Improving quality of stroke care through benchmarking center performance: why focusing on outcomes is not enough.

ABSTRACT:

Background

Between-center variation in outcome may offer opportunities to identify variation in quality of care. By intervening on these quality differences, patient outcomes may be improved. However, whether observed differences in outcome reflect the true quality improvement potential is not known for many diseases. Therefore, we aimed to analyze the effect of differences in performance on structure and processes of care, and case-mix on between-center differences in outcome after endovascular treatment (EVT) for ischemic stroke.

Methods

In this observational cohort study, ischemic stroke patients who received EVT between 2014 and 2017 in all 17 Dutch EVT-centers were included. Primary outcome was the modified Rankin Scale, ranging from 0 (no symptoms) to 6 (death), at 90 

SUBMITTER: Amini M 

PROVIDER: S-EPMC7603730 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature